Lauren Peak

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-125133 Issued in MS

Practice address

32 Millbranch Rd Ste 40
Hattiesburg, MS 39402-1673

Phone

(601) 255-5264

NPI assigned

Jul 13, 2020

Last updated

Jul 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1083232342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MILLBRANCH RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021672",
            "telephone_number": "601-255-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MILLBRANCH RD STE 40",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021673",
            "telephone_number": "601-255-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAK",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MS",
            "license": "RBT-20-125133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Chad Pattie, CRNA
• Lizetta Aneta Deyon Patton
• Casey Payne, PHARMD
• Jasmine Payton
• Peak Health and Wellness, LLC
• Sandra Darnell Pearson, B.A.
• Sven Pearson, MS, ATC, LAT, CAMCP
• Peavy Chiropractic Clinic PA
• David L. Peavy, D.C.
• Richard A Pecunia, MD

• Behavior Technician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Behavior Technician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.